Organization
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC.
Active
Organization
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC.
Active
Other names
The Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE JONES (EXECUTIVE DIRECTOR)
(716) 661-1412
Entity
Organization
Contact information
Practice address
75 JONES AND GIFFORD AVE, JAMESTOWN, NY 14701-2828
(716) 661-1400
Mailing address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1400
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
6069-160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03004928
—
NY
01
—
J100184027
MEDICARE PTAN
NY
Enumeration date
12/18/2006
Last updated
11/10/2015
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